ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY >

2018 , Vol. 2 >Issue 2: 139 - 142

DOI: https://doi.org/10.37015/AUDT.2018.180813

Special Report

Imaging Diagnosis of Tubular Adenoma of Common Bile Duct: Case Report and Review of the Literature

  • Dong, MD Yi ,
  • Yang, MD Daohui ,
  • Zhang, MD Qi ,
  • Cao, MD Jiaying ,
  • Mao, MD Feng ,
  • Wang, MD Wen-Ping
Expand
  • a Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
    b Shanghai Institute of Medical Imaging, Shanghai,China

Received date: 2018-04-15

  Online published: 2018-08-19

Fold

Abstract

Tubular adenoma of common bile duct (CBD) is an extremely rare benign extrahepatic bile duct adenoma. We report a case of surgery and histopathological proved CBD tubular adenoma. A 69-year-old man was admitted to the hospital for yellow urine for one month. Clinical, radiological and laboratory results were analyzed. Medical literature in PubMed pertaining to similar cases was reviewed. A solid mass was detected in the distant part of CBD, with dilation of the extrahepatic and intrahepatic bile duct by ultrasound, contrast enhanced ultrasound (CEUS), computer tomography (CT) and magnetic resonance imaging (MRI). It showed heterogeneous enhancement both in contrast-enhanced CT, MRI and CEUS. After operation, pathological findings indicated a tubular adenoma of CBD. Our case highlighted the fact that tubular adenoma of CBD was demonstrated as a homogeneous mass in the distant part of CBD.

Key words： Tubular adenoma; Common bile duct; Imaging; Benign; Diagnosis

Cite this article

Dong, MD Yi , Yang, MD Daohui , Zhang, MD Qi , Cao, MD Jiaying , Mao, MD Feng , Wang, MD Wen-Ping . Imaging Diagnosis of Tubular Adenoma of Common Bile Duct: Case Report and Review of the Literature[J]. ADVANCED ULTRASOUND IN DIAGNOSIS AND THERAPY, 2018 , 2(2) : 139 -142 . DOI: 10.37015/AUDT.2018.180813

References

[1] Hughes NR, Goodman ZD, Bhathal PS. An immunohistochemical profile of the so-called bile duct adenoma, clues to pathogenesis. Am J Surg Pathol 2010; 34:1312-8.
[2] Yoon JH. Biliary papillomatosis: correlation of radiologic findings with percutaneous transhepatic cholangioscopy. J Gastrointestin Liver Dis 2013; 22:427-33.
[3] Aggarwal S, Kumar S, Kumar A, Bhasin R, Garg PK, Bandhu S. Extra hepatic bile duct adenoma in a patient with a choledochal cyst. J Gastroenterol Hepatol 2003; 18:351-2.
[4] Arena V, Arena E, Stigliano E, Capelli A. Bile duct adenoma with oncocytic features. Histopathology 2006; 49:318-20.
[5] Terada T. Non-invasive intraductal papillary neoplasms of the common bile duct: a clinicopathologic study of six cases. Int J Clin Exp Pathol 2012; 5:690-7.
[6] Kim BS, Joo SH, Joo KR. Carcinoma in situ arising in a tubulovillous adenoma of the distal common bile duct: a case report. World J Gastroenterol 2008; 14:4705-8.
[7] Beazley RM, Blumgart LH. Benign tumours and pseudotumours of the biliary tract. In: Blumgart LH, editors. Surgery of the liver and biliary tract. 2nd ed. New York: Churchill Livingstone; 1994. p941.
[8] Fletcher ND, Wise PE, Sharp KW. Common bile duct papillary adenoma causing obstructive jaundice: case report and review of the literature. Am Surg 2004; 70:448-52.
[9] Weber A, Schmid RM, Prinz C. Diagnostic approaches for cholangiocarcinoma. World J Gastroenterol 2008; 14:4131-6.
[10] Jennings PE, Rode J, Coral A, Dowsett J, Lees WR. Villous adenoma of the common hepatic duct: the role of ultrasound in management. Gut 1990; 31:558-60.
[11] Sparchez Z, Radu P. Role of CEUS in the diagnosis of gallbladder disease. Med Ultrason 2012; 14:326-30.
[12] Onishi I, Kitagawa H, Harada K, Maruzen S, Sakai S, Makino I, et al. Intraductal papillary neoplasm of the bile duct accompanying biliary mixed adenoneuroendocrine carcinoma. World J Gastroenterol 2013; 19:3161-4.
[13] Xu HX. Contrast-enhanced ultrasound in the biliary system: Potential uses and indications. World J Radiol, 2009 31; 1:3744.
[14] Xu HX, Chen LD. Villous adenoma of extrahepatic bile duct: contrast-enhanced sonography findings. J Clin Ultrasound 2008; 36:39-41.
[15] Maeda E, Uozumi K, Kato N, Akahane M, Inoh S, Inoue Y, et al. Magnetic resonance findings of bile duct adenoma with calcification. Radiat Med 2006; 24:459-62.
[16] Yang J, Wang W, Yan L. The clinicopathological features of intraductal papillary neoplasms of the bile duct in a Chinese population. Dig Liver Dis 2012; 44:251-6.
Options
Outlines

/

〈 〉

Content
For Authors
For Reviewers
Article Category
Publisher Policies
About
Top 10 Rankings

Share: WeChat

Copyright ©2018 Advanced Ultrasound in Diagnosis and Therapy

|

Creative Commons License Advanced Ultrasound in Diagnosis and Therapy (AUDT)  is licensed under a Creative Commons Attribution 4.0 International License.